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Individual

CAMILLA J COBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-2304
Mailing address
PO BOX 1740, LOMA LINDA, CA 92354-0240
(909) 558-2304

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G37734
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G37734
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G377340
CA
Enumeration date
09/21/2006
Last updated
09/24/2007
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